Janna Bullock, MS, CCC-SLP
NPI 1073903969ActiveIndividual· Specialist· Overland Park, KS
Specialist (MS, CCC-SLP) with Legacy Healthcare Services Inc, practicing in Overland Park, Kansas. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1073903969 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, CCC-SLP |
| Sole proprietor | No |
| NPI issued | Jan 29, 2015 |
| Last updated in NPPES | Jan 29, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 1219 | KS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (KS) |
|---|
Education and affiliations
| Graduation year | 1984 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Legacy Healthcare Services IncGreenville, SC · 3,223 clinicians
Other Specialist providers in Overland Park
- 1033426697
- 1497768774
- 1932434982
- 1114051752
- 1376615559
- 1659557429
- 1124117957
- 1962661736
- 1043204852
- 1114074630
- 1417499708
- 1104937507